基于TOPSIS法和波士顿矩阵的医院神经专科能力评估研究OA北大核心CSTPCD

Objective To provide a reference for the development of characteristic specialties in domestic hospitals by evaluating the neurological specialty capacity of a tertiary-level class A hospital which is characterized by the construction of a neuroscience cluster. Methods An evaluation index system for the specialty capacity in the Neurosurgery and Neurology Departments was established from four dimensions:service capability,technical capability,quality and safety,and service efficiency.The trend of neurological specialty development at Beijing Tiantan Hospital,Capital Medical University from 2019 to 2023 was compared longitudinally using the technique for order preference by similarity to ideal solution(TOPSIS),and the construction of each subspecialty of neurological specialty was analyzed by the Boston matrix. Results The TOPSIS score index of the neurological specialty at Beijing Tiantan Hospital,Capital Medical University showed an upward trend from 2019 to 2023.The subspecialty of the Neurosurgery Department,named oncology specialty 1,which mainly focuses on the diagnosis and treatment of glioma,achieved the highest score index in terms of technical capability,and quality and safety.The subspecialty of the Neurology Department,which mainly focuses on cerebrovascular diseases,got a higher score index in terms of technical capability and service efficiency.Both subspecialities were located at the advantageous consolidation zone of the Boston matrix. Conclusions The diagnosis and treatment capacity of the neurological specialty of Beijing Tiantan Hospital,Capital Medical University continuously improved from 2019 to 2023.Among the subspecialties of the Neurosurgery Department,oncology specialty 1 ranked No.1 in terms of specialty capacity,with high difficulty in diagnosis and treatment techniques and low incidence of negative medical quality events.Among the subspecialties of the Neurology Department,cerebrovascular specialty has high technical difficulty in diagnosis and treatment and provides efficient services.